Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.83 / $18.73 / $44.04	Facility	26	$14.83	$18.73	$44.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $35.57 / $102.00	Professional		$17.27	$35.57	$102.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.48 / $14.94 / $48.00	Professional	26	$7.48	$14.94	$48.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.11 / $21.93 / $38.15	Professional	TC	$10.11	$21.93	$38.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.70 / $17.53 / $24.95	Professional	26	$11.70	$17.53	$24.95
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $107.99 / $107.99 / $107.99	Professional	26	$107.99	$107.99	$107.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $41.77 / $66.18	Professional		$25.72	$41.77	$66.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $12.85 / $15.64 / $24.42	Professional	26	$12.85	$15.64	$24.42
Capital Blue Cross Facility/Professional Professional Modifier TC Low / Median / High Price $12.78 / $26.70 / $40.85	Professional	TC	$12.78	$26.70	$40.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.32 / $17.32 / $17.32	Facility	26	$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $30.89 / $67.88	Professional		$18.80	$30.89	$67.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.58 / $12.15 / $25.25	Professional	26	$7.58	$12.15	$25.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $9.24 / $19.61 / $43.02	Professional	TC	$9.24	$19.61	$43.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $55.56 / $66.90	Professional		$22.05	$55.56	$66.90
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $19.86 / $31.20	Professional	26	$16.57	$19.86	$31.20
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.99 / $39.75 / $56.58	Professional	TC	$31.99	$39.75	$56.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $51.70 / $51.70	Professional		$47.00	$51.70	$51.70
Highmark BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.31 / $17.54 / $24.74	Professional	26	$15.31	$17.54	$24.74
Independence Blue Cross Facility/Professional Professional Modifier 26 Low / Median / High Price $107.99 / $107.99 / $107.99	Professional	26	$107.99	$107.99	$107.99
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $14.83 / $21.47 / $47.46	Facility	26	$14.83	$21.47	$47.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $40.78 / $90.53	Professional		$18.96	$40.78	$90.53
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $8.08 / $17.50 / $45.00	Professional	26	$8.08	$17.50	$45.00
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $11.55 / $25.96 / $49.37	Professional	TC	$11.55	$25.96	$49.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $30.70 / $86.00	Professional		$30.70	$30.70	$86.00
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $5.27 / $17.32 / $17.32	Facility	26	$5.27	$17.32	$17.32
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $31.43 / $67.88	Professional		$18.93	$31.43	$67.88
Priority Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $12.36 / $24.14	Professional	26	$7.81	$12.36	$24.14
Priority Health Facility/Professional Professional Modifier TC Low / Median / High Price $9.60 / $19.61 / $42.24	Professional	TC	$9.60	$19.61	$42.24
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $9.00 / $14.91 / $14.91	Facility	26	$9.00	$14.91	$14.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $40.51 / $43.68	Professional		$25.00	$40.51	$43.68
UPMC Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $9.00 / $14.93 / $15.49	Professional	26	$9.00	$14.93	$15.49
UPMC Health Plan Facility/Professional Professional Modifier TC Low / Median / High Price $16.00 / $25.60 / $28.19	Professional	TC	$16.00	$25.60	$28.19
United Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $42.97 / $72.87	Professional		$20.77	$42.97	$72.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.75 / $15.94 / $29.60	Professional	26	$7.75	$15.94	$29.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.95 / $27.43 / $48.88	Professional	TC	$12.95	$27.43	$48.88